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DAVENPORT ANESTHESIA GROUP LLC - Florida Company Profile

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Company Details

Entity Name: DAVENPORT ANESTHESIA GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 23 Mar 2016 (9 years ago)
Date of dissolution: 22 Sep 2023 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (2 years ago)
Document Number: L16000059279
FEI/EIN Number 81-1939935
Address: 107 PARK PLACE BLVD, DAVENPORT, FL, 33837, US
Mail Address: 107 PARK PLACE BLVD, DAVENPORT, FL, 33837, US
ZIP code: 33837
City: Davenport
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PORTER TOM Manager 107 PARK PLACE BLVD, DAVENPORT, FL, 33837
KASTNER NANCY Agent 206 CANOVA DRIVE, NEW SMYRNA BEACH, FL, 32169

National Provider Identifier

NPI Number:
1457709503
Certification Date:
2021-07-09

Authorized Person:

Name:
NANCY K KASTNER
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
251J00000X - Nursing Care Agency
Is Primary:
Yes

Contacts:

Fax:
8634192821

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -

Documents

Name Date
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-03-26
ANNUAL REPORT 2020-04-03
ANNUAL REPORT 2019-03-27
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-04-05
Florida Limited Liability 2016-03-23

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Date of last update: 03 Aug 2025

Sources: Florida Department of State